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030-110-067
%�_ 311-67 i Eugene Wan �3 S/S Grand Ave.,500''E.of 18th St., Thermalito Permit # 07-76P,E(uti .,MH) ELEC .lo GAS V -1 SUPPORf StktCTURE REQ. Alli rql COMPACTION TEST REQ. 40 Pemit #5343-76MHI Issued 10-141-26 30-11-67 Q Cleta Warren /� , �)i✓" 1725 Grand Ave., Oroville Permit 41 4-77P,E(util.,MH) ELEC.A;L,.o Allo AS- SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. ///a -30-11-67 Permit 7, 4145-77aJ1/ / Issued 30-11-67 G7 �ContR: ceasar Madero // -/`% Permit#203- 9BMHIexisting site) >I s s.ue Permit#363Q-89B(open deck/MH tom---= 1 t r 1 s %�_ 311-67 i Eugene Wan �3 S/S Grand Ave.,500''E.of 18th St., Thermalito Permit # 07-76P,E(uti .,MH) ELEC .lo GAS V -1 SUPPORf StktCTURE REQ. Alli rql COMPACTION TEST REQ. 40 Pemit #5343-76MHI Issued 10-141-26 30-11-67 Q Cleta Warren /� , �)i✓" 1725 Grand Ave., Oroville Permit 41 4-77P,E(util.,MH) ELEC.A;L,.o Allo AS- SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. ///a -30-11-67 Permit 7, 4145-77aJ1/ / Issued 30-11-67 G7 �ContR: ceasar Madero // -/`% Permit#203- 9BMHIexisting site) >I s s.ue Permit#363Q-89B(open deck/MH tom---= a�f t7�0 I I DECLARATION REGARDING LATS OR PARCELS I certify that as owner of the, roperty acquired by deed in Volume Page `,�� , Official Records of Butte County, (APS . �1 • f - ) I.am req-;.esting permission to build or install an additional living snit on this -pioperty. I will not. divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- piied with. I.,am conversant with the present zoning regulations affecting the aforementioned piroperty, and declare that I shall not violate same. I represent that the proposed use of the additional living unit isf,��, and•that further I shall not change this proposed use of the additional living unit 'unless and until I receive written approval therefor from the County of Butte. I1 -fully. understand that., pursuant to Chapter 20 of the 3utte County Code and §11535 • et seq -of the Business, and Professions Code that if .I, in the, future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances,' that I shall be guilty of.a misdemeanor and 'therefore., subject to the aforesaid penalties and imprisonment pursuant to law. J `_-_ ?k.�"� ems.',; • i,r "-•.►'t.� �1 I.•T.. . ;i�-�w •... +. •.. ` �EMu .,: this. statement:., si+a2'l; be.,pxoperly acknowledged 'and recorded it the request. ,fig of the County of Butte. 41 ' �. I :.' .. � ,,, • `` / / /��� � I` •CcS�(X:%/'l��l^l�lC!/til, - Owner OMCfAL RECOR05 r Btt,'TE U,4 T Y =-�ebr A • Le�s�n, qM kc 17 12 32 PH 1377 CCUi�c t,LE �;cf; .pAP COUNTY R�CnOEri 6091 FE STATE OF CALIF0W%fIA ) ss COUNTY OF Bonze ) 17,;2 s 4A � ,Z Address Date On this 15th day of August , 197 7, before me, the �,nj,rQjqCjPrj , a Notary Public in and for thEr County of Butte State of California, residing therein, duly corrmis- sioned and sworn, personally appeared Debra Leishman known to me to be the person whose Tame is subscribed to the within instrument and acknowledged to me thats he executed the same. IN 'CITNESS 4tMEREOF I have hereunto set my hand and affixed my official seal in the County of Butte the day and year in this certificate first above written. 0 : Y OFFICIAL SEAL ;, >�_ WALT0Z D. SUMMERS +' w NOTARY PUBLIC - CALIFORNIA s ,. 'o-. �_ �,z � PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1, 1979 Notary Public Public -2,v -i/_6-7 r?E:I'AFL C't°il_:�d'i OFI]CIU ']:i`�G� AND C: STATE Of CAItKANIA GEORGE DEUKMEJIAN. Gowenwi DEPARTMENT OF OUSING AND COMMUNITY DEVELOPMENT DIVISION Of CODES AND STANDARDS - Monufooured Housing Section 1800 -3Rd Street Sacramento Ca. 95814 Mailing Address: P. O. Box 31, Sacramento, CA 95812-0031 (916) 445-3338 July 23, 1989 Huey Eugene & Cleta M. Warren 1731 Grand Ave Croville, CA 95965 Dear Applicant; Attached is the replacement insignia requested for the following unit(s): Serial'Number (Vehicle Replacement Manufacturer/ Identification Insignia Model Year Mfg. Number) Number(s) Fuqua/Woodland 1976 A10260 267750 B10260 267751 Original Insignia Issued To -:Fuqua Original Date Issued: 2-18-76 Original Insignia Number(s): If located, the original insignia must be returned to the Department of Housing and Community Development, P. 0. Box 31, Se Attached is an information sheet to help you affix mobilehome, commercial coach or recreational vehic: Sincerely Attachment HrD-403A (Rev. 7/88) V-4: l� ,. % � _ ,4 . �__.�__._ _.-- r __- --- --.�._ . __ �._ _ -_ -_ _.. -- --- �.. _ _ _-----_---- -- ____��_.._ _ _. _ __ �_ . ^ .__ _ Y.__._ _ . . G 2035-89MHI ex site PERMIT NO. 9 PERMIT EXPIRES / a OWNER EUGENE WARREN ' Cesar Mercado CONTR. ' ASSESSOR PARCEL 30-11-67 LOCATION 1725 Grand Ave, Oroville 4 b s t' Y Y TjE 1 I r r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature 1 ' 0 = Not OK a Y,-, a ��,a� t :,C3 *o - = Not Applicable =NotReady_ MOBILE :HOMES a MISCELLANEOUS -Date • --MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPO,RTS,GARAGES,•(Plans)OK except #'s ,.- 1. Zonirig Requirements -Setbacks -Easements ' 1. Zoning Requirements -Setbacks -Easements - --_ 2 -.Soils; Special MH'Support-Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel = 3i Sewer, Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails --4. *4ter ,Location-Test=Easement Needed (Sketch) 4. Wood .' Awn.; Posts-Beams-Rftrs.-Connec.- • Shthg.=Rfg -Bracing . - -` 5. Electnctty; Location.-Clearances-Grnd / /Amp -Concrete 6. Gas Location-Test-Wrap:'/;/"L"ft; ; _ - . L_.- / Nat:'or/- /"L' ft./ , 5. Albm.�Awn.; Columns -Connections -,Decal -Enclosures 6. Carports; Windows -Doors 7 Utility.:Clearance ti 7. Elec. wr r - Jnr e r: sr 8� Frm Sills-Anchors-Studs-Rftrs-Tru'sse§ "'n' """ 9. Siding; Nailing -Veneer -Stucco -Mesh Card-B1Z- . Date Card7"81 Date '" 10. Roof; Shthg-Roofing' -Card-1B1'--1.'-7'Date Card -Bl'' Date 11. Ext.; Steps -Doors -Landings -Date- , .-MOBILEHOMEANSTALLATION Pians) OK except #'s. " r" - - ping Requirements-Setbacks=Easements' Card -81 Date - Card -61 Date • iT Footings; Size -Spacing -Marriage• Lirie i Card -131 Date Card -131 Date -- . Ga ; MH Test- Demand-Valve=Connector - lectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s ` rair;,MH Test -Fall: -Flex Connector 1. Setbacks -Easements ` ' - ter MH`Test=Regulator-Connector 2. Soils; Compaction -Structure -Stability -^ L -7 -Water and Sewer,Connected-C/O-to Grade -HD Approyal 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining, ,,n :S.: G'asaand,Electricity,',Ta ged;, ".1i; Exits; Insp.-SketchS�2 Q 4. Elec.; Receptacles and, Lighting, Distances-GFI _a, e010Cert of Occupancy. ^{; 5. Elec.; Pool Lighting; 15 volts-GFI ,• ,�,r-r ;, 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip.=Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Gard -B1 "'bate Card -61 Date ` Card -131 " =Date `-= Card -131 Date -` ` 9. Health Department Approval - rh 1n ; . K rr 1. 10. Plumb.; Cir. Test -Water Supply Test - ,..n Card -131 Date' Card7131- ' Date Card -131 Date,,.,.,-: ..Card=61 .Date - - UK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab;'Steel-Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In ir-Connector-P.R.V:In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic o Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 80. Following instld.; Drive O Yes o No; Walks O Yes O No; Planters ❑ Yes D No S B F"h m 8i. tUCCO, rown- is Card -131 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -Bt Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 911. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92. Roofing Certificate Card -81 Date Card -61 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing . MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0.-203-� K'? --r Address or location of mobilehome S a Owner's name F. t )ter ra h /A� Owner's address I `7 _� (mac, Y n ci �`t L)p s Insignia or hud number F77 i d -M, &, r7 Manufacturer's name Serial number of V.I.N. N. 0 l t' 'r47�Year of manufacture Asa (Official -Approving Installation) ` (Date) r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. tk MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DIEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome Owner's name Owner's address Insignia or hud number s _ Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. 3630-89B PERMIT NO. / PERMIT EXPIRES / ' ` / m EUGENE & CLETA WARREN OWNER CONTR. owner 30-11-67 -ASSESSOR PARCEL LOCATION 1725 Grand Ave, Oroville r .y Temp. Power Pole Celled PG&E Temp. Elec. Service Called PG&E Temp. Gas S Called PI JOB FINALEI Signaturf '= OK 0=Not OK i ' = Not Read�yable MOBILE HOMES r MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water: Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Date DECJ(,S,COVERS,CARPORTS,GARAGES, (Plans)OK except . ening Requirements -Setbacks -Easements L2Footings; Soils-Size-Depth-Spacing-Connectors-Stee L"ecks; Gi s and/or Joists=Decking-Bracing-St 4. s s -Bea s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 6. -Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPGs; 7. Utility Clearance ,, olumns-Co nections-Splice-Decal-Enclosur- endows -Doors 8. =Studs-Rftrs-Trusses 9.vSid4uq,—Naitm g= Ve n e e i -Stucco - M e s h Card -B1 Date Card -61 Date 10-Reof.-S?nffg-Roofing Card -Bt. Date Date Card -B1 Date MOBILEHOME INSTALLATION (Plans) OK except #'s ' ors- n Kgs 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card -81 Date _ and -B1 Date Card -B1 Date Card -B1 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - Card -B1 Card -B1 Date Card -81 Date Date Card -B1 Date 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg Boxes- Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date _ IF = vn 0 = NotOK - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffle: 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs: Width -Headroom -Rise -Run -landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59.Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 _ Date Card -131 Date Card -81 Date Card -81 Date Card -B1 Date Card -131 Date Card -81 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 67. Stairs &Rails Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Caarage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -OYes ❑ No; Walks O Yes ON Planters ❑ Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1' Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, Calitornia}i�5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT (J ASSESSOR PARCEL NU BER vZ �— ZONIN BUILDING PERMI OWNER �u � ? uf� `- ,J ON TELEPHONE E - FT. OCC, BUILDIN V UATION SO,, OWNER'S MAILING DRESS COy� AC_TO N ME TELEPHONE CO/`NTTTRA`CCTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /s Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS (/ t� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 i / Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities /❑ Installa 'on❑ Other ❑ Describe work: is Zl �F _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P I Y ( )• ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 'EX. I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR ADONS. ( ACC. BLDG -S. ) /20sgft NEW CONSTIR OLTI.OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) OUTLET CIR. OCcup�OUTLETS OR FIXTURES 0050C - 2AL@ eL03030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. 6Virin 9 15.00 I. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co and expenses which may in any way accrue again Co my in cons�uence of the granting of this permit. X Date Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D) ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD P PD H Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees CT O PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date v �9 -Z' Receipt No..12S-40BY .12S -40F WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT T-�' �, w �'. r � ,%^i`7�}`r�;,��•+.i°+1+�iAX.A�..,,,,�y',+�(` :'-"�r�,.w.:Pr�..3cs�F' - V. COUNTY OF BUTTE - DEPARTMENT O- PUBtLIC WORKS -BUILDING DIVISION , :3, 7 COUNTY CENTER DRIVE - OROVILLE, C.itRlt��95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / ;,;�, F Permit No. OWNER � �'fIt' / `s A. ID. 14 o.d"l �—C2 Proposed Building Use --/�.�� Building Inspector-;ODate /� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation `. instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. dA14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature autholization ., . .............................. . �6. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephones _ and hold for pickup at office. Deliver w/inspector. Other Applicant Date 9 Copy of plans sent Health Dept., Fire Dept., ' Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by e;;F� Date Sets of plans on hold in . File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Depaf_tai ntx of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has'been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction.of the proposed property improvement (yes or no) 2. I (h.jaye/have not signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date �� --17Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Is 171 Of,14 �rw+�kQ arra' c#: • C-Utgkd RAI 310PIUM►O.l- IOooCI �L 3µ wood —Q 1r) 40 s s X057- �--K ►� � CTR lMe-I o ` 40T iv 6 /0�� �� A se�tk of 5 ft. f 'thd to �o � X �! PIER , � party lines and a t6& r� ER. Pocks Dili ..from the roa S5 MTek-S 11 � � v cen centerline shall be cl ar of r aqui ent exeep� �,A eructures o , .t. e& 4—. ) � for e 2 .�t. eeve over - - - - - an�7v�f��1 �L w aM ttenos vi' haus '�J •�� -Iferaticns —`' .Inges or ptIbr ars Pram ihv D© 41.boft - -000" � 0000010 i ! S;,rll Be it r�t R: ^ ,;�ize'r' wsur-e i the vh uoji,4V prescr.�,k� t�.. ,. Un'rfarn9 Buiding, PBwurr��"+g �1e�haica� bodes and the "low g �'- oxie. VARIE-S 36," MIN.k _ � W 3 \ �E 7Q ED< D m mo p Z c 7J v tnN D • K m TY P - 3 � � m a Z �f m x v _ 3 48" m � `- x N 0 n m MAX. o C A/ o T -� ,° ° • y � � �CP o s.. • -2 9 n1 0 DO I I 6 N D �_ c /% 30"- 34" Co o �t Zy Ji/NAIJDRAIL MEI IaNT i I w z k, MAX." MIN, STAIR') 0 0� N � 3(o W I DT+4 to Ln m a� °nIZZ ion ObM c D ti MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome fr. 1, ao furnish Setup Model No. Year sof Width (ft.) Box Length _(ft.) Tagalong or Expando Sized On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) IR1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1�'��'Concrete block.�2. 'Other (specify) ,. H Pier Footing Sizes %and Locations- 'N SINGLE -WIDE Line. A Line 1 a Line 1 Piers: Line 1 Opening_e: Size -Min. -- ` �--- k „ Size -Min. ` -- Spacing -Max. - Each Side of Openings From Ends -Max. ------- '- " With Width Over"-"----"- _ f Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Sire -Min. ------------ Size -Min.------------------ ,x ESpacing-Max---------- i_ n Spacing -Max---------------- ' From Ends -Max.------- LL'- b " From End s -Max--------------- ' lAnene 3 Roof Loads:2� w MnTs.0A A a Size -Min. --- - J „x 77 x � .1x y� a 1.x„x nx n ,k u Location (From Front)' - Line 4 Piers: Line 5 Piers: Under Bearing calls On Toy Size -Min.--- ------ - ,k „ Size -Min.------------------ Spacing -Max ._______________ ,_ u Spacing -Max.--------- , From Ends -Max ------ -- ,_ n From Ends -Max.------------- Line 5 Roof _loads: Size -Min.-------- ---- ,Ix I, „ ,Ix 11 "A „ „x "A Location (From Front) 4 1. Owner's Name: 2. Installer's Nar BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes FV--1 No (If yes, furnish°two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 123 No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- �t�— Amps 6. What is the mobilehome site service rating? ------------- 02SO Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the loadand size: (.Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. 10. What is the type of gas service? ------------------- Natural L LPG 11. What is the gas pipe length from meter or tank to the mobilehome? "---- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less ft. on natural gas or less than 50 ft. on LPG.)00 t A permit will 6e required for the r,i installation of the mo6ilehome. 1 ^` E The AN4. Setback shall 6e 5 ft, from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft, eave overhang. --1 NCTi::--ill (vtfffpr;r,l5 & Workrnnnship Shall Be in /�GC7r�idnce With R-col";"14 Gaad prryr+ICP.S dnr! Of a c�c�ctl;+�. r�re�C-i{a�,�1 for she Spec;f;ed use in the Uniform RniHinq, 'lumhinq & Macho nica: Carlos and the Notioncyl Electriccl Code. "his set of Oar's a.14 SIR e4ilillift s MUST be Opt an the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butt«, firl utilit 7y-- 7C located within 4 ft ` ions shall be third section outside the rear le home on the left (road) side of hmobie mobile home, !� ted' 1- Y�� ► C! 1 0 MOBILEHOME SUPPORT DATA Mobilehome Mfr. ,� Setup Model No. Year I Width JJ9 _(ft.) . Length (ft.) ' Expando Size Z ft.x 62�:_At. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on .file with the County of Butte). - Sin le -� Footings- (check. one) i f e /'S _��// s /1�1. Wood either Ole, pressure treated or Center C_nter-Sy port d fdn-. grade. Suppor_t-�' Foot'• g Sizes �7 sL�o tions ( in.) 2. Concrete pad. 01 t t00 � _ r / / 3. Other,: specify ern. n,.:j 71 „ f ! - - - - 1 •• �F�.44 �� I Supports (check one) Concrete block F_ �% I IL 2. Concrete piers EET �,�,,jjje.. l I 77 3. Steel piers 4. Other, specify /00000, x�( in. ( n. ) 000 -. - -- d t. ins) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. l X Typical Support X/ Footing Size in. in.) I _ Max-. Pier . In.) Spacing _ Max, BUTTE COUNTY { Overhang BUILDING DEPARTMENT APPROVED 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ' 1. Owner's name: R 2. Installer's name: / � 3. Is the site currently under permit.. Yes /Q No (If yes, furnish permit number ) OR Is the site an existing site? Yes /w//— No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach.fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating?----=-------�----�, � Amps 6. What is the mobilehome site service rating? ---------- --=--� Amps 7. What is the mobilehome site circuit breaker rating? -----------='1 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No.7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12.••What is the,mobilehome,gas demand? ------------------------------ (BTU) ,(This.information not required if pipe length less than 6 ft. on natural gas or•less than,50 ft. on LPG.) t - PERMIT NO. 5074-76P,E ,i PERMIT EXPIRES QWNER _ Eugene Warren CONTR. owner LOCATION (A.P. 30-11-67 S/S Grand Ave.,500'E.of 18th St., Thermalito a -d i i c . Temp. Power Pole Called PG&E oe Temp. Elec. Serv. Called PG&E Temp. Gas Serv. �B `✓� Called PG&E PG&E _ JOB r I INALED fd (Date ` 1 Zee i I (Signal-) . COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING j-. I BUILDING (Cont'd) I PLUMBING� Setback /` Firewall Soil Piping Forms Parapets { 1st Floor Main Bldg. Restroom Finish / 2nd Floor Footings Windows ] 3rd Floor IZ Stemwall Siding { To out Slab Roof Sheathing Water Piping Piers 1 Roofing Sewer ©/ Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents + t Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica e Conformance of ex. i structure 3 Appliances Gas Piping &Test Q Temp. Gas Slab Final Sanitation j b Patio FIREP A E Final o; Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE S Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC kANICAO Grd. Fault Prot. Scratch Heating Service / Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath f Ventilation Permane Door Closer 1 Final F i n a I 9 DATE REMARKS OR CORRECTIONS 4. —�ew (NOTE: An entry must be made on this form each time you visit the job site.) t•i0BTk*EIi024E Il'dS'I'A LATIAN INSPECTION CHECK LIST 1. Is the. mobilehome located wi.iai required separation from lot lines and buildings and generally conform to plot plan? YesNo. X� 2. Does the mobilehome have 'required clearances above ground? (Sec.5085) Yes No 3. Are footin�,s and supports properly `Sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) YesA No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Is f exible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes; No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes S( No C. B rnia apprcLved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ B.. Does it have minimum z;" per foot slope and is it properly supported? Yes No C.. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach iV..s not State of California approved, does station have required trap and vent? Yes No - 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the*gas supply with an approved 3/4" minimum mobilehome connector not more than 6'ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without' reductions other than the mobilehome connector. YesW No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A Is service large en-oiigh to provide adequare amperage to mobileliome (must equal rating of mobilehome (aitil a ::iinia:um of 100 amp) anal ocher faciliti_e!s• on lot, i.e., water pumps, garage, cabana, ctu.r Yes / No B. Is ther--� proper. clearances Around panels? Yes No C. Is power supply cord or feeder assembly properly fused? YesX No_ D. Is continuity test satisfactory as per the following procedure? Yes_X No_ 1. De -energize electrical wiring, syste:il of the mobilehome at the pedestal. 2. Make sura that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lc -:ad of a test instrument to the mobilehome grounding conductor and ,. apply tine oillei a.iau %v Gal:ll r11VUL.LCIIUHW Siippty CufiuuCtoi, incluuirig,r�euirai. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te.:;r shall then be made between the grounding electrode and the chassis of the I1:.0bilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. � - job card si-ned by Health Departmeat for water and sanitation? 1.:.. If everything (A ay, sign off card and tag services. MUliTLi;itUi^.L UATA Manufacturer and/car Namest:yle ,---- Length 40 Width %® 9L fOX 7 Vehicle Serial No.����J State Identification No. 4.& itional Infor•.narjon or Cormnents: Yom, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements 'of the California Administrative Code, Title 25, Chapter 51 under permit number s '2/!'�r– - yC for the following location: Owner',�- s -''-� ---, Owner's Address / 7--,7 Mobilehome Mfg. �r�_/!-� Model Year, Insignia No. .� c, Serial No. (7'-fO- i It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date Z /C / 7r' fly THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — D[-:,py4RTMENT OF PUBLIC WORKS 7 County Center Drive ,- 'Oroville, California 95965 %` Telephone: 534-4541 �o / � j6 APPLICATION AND PERMIT � CCCJJJ �• Ic.r. c.a... vca VI lnc VUU11 y UI Quilt N C111C1 UPUII lllt9 above-mentioned property for inspection purposes. Date Signature o�ef.,,.. or Agoe�nt Receipt NO. S7- 9- O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By—y —� Date G Building permit expires Date __ ��z 3L%� BUILDING Owner 2 61 N SQ. FT. OCC. BUILDING VALUATION Mailing Address Z93,3 `Q -;P--A J 7 r Tele hon!e� 13. 7 Fireplace Contractor OA- , Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address S l�!-tl�J AVELUM13ING v No. @ FEE PERMIT FILING FEE $3.00 _ S^ CST �%` �' Each Trap 1.50 .— Repair drainage or vent piping 1.50 Water piping 1.56 00 w _ zjopjs WMAH90 pIr Each gas water heater or vent 1.50 A. P. No. c> 6 �+- ZO Gas piping system 1 - 5 outlets #-613 �. Each additional outlet .30 FJ/s VW. Sanl Fire Dept. Fire Zone Use Permit Building sewer 5.QQp� EQA Parking Plans Parcel Declaration Parcel ap 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd kof Parte Approval Plo pprovol Permit Fee $ au $ NEW ❑ ADDITION ❑ UTILITIES R] OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service i°°V OR o AMP OR o LESS 5.00 df, Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 10 0 AMP VER OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADONS. ( ACCLBLDGLING OCCUP. &) 2¢sgft NEW CONSTR. .(MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y Ex. Occup(OUTLETS OR FIXTURES) BA@L@1 1 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ob License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .3 Q 0 $ o'' WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 19 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ O C �• Ic.r. c.a... vca VI lnc VUU11 y UI Quilt N C111C1 UPUII lllt9 above-mentioned property for inspection purposes. Date Signature o�ef.,,.. or Agoe�nt Receipt NO. S7- 9- O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By—y —� Date G Building permit expires Date __ ��z 3L%� THERMALITO IRRIGATION DISTRICT f ... 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address:.' Owner's Name: -a Date: Address: ` Acct. No: A. P. No.: Phone: No. Units: Applicant/Agent: .' . " / f r Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: `� _ �� }- Date: I -% CSA 26 Remarks: • .. - L SC -OR V 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DE15ARTMENT OF PUBLIC WORKS 7 County Center Drive, — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �V Z(o authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X --t-L( Date Signature of ermitee or Agent Receipt No. ,'S2-2!7 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF WMLIC WORKS BY / Date /- -/ Y' 7 B Zing'permit expires Date 10-1gl 7 7 BUILDING Owner `�(/G`�/�/��Q��� SO. FT. OCC. BUILDING VALUATION Mailing Address 0 f 57% — � ho=e No. O Fireplace Contractor Total Valuation Mailing Address 62 Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 5's /��� r� v i (7' �/ d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C' ��/� S /fj,Qy/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 — A. P. No. 30Z oning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F94rs v4e Set3�.F 're Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap vol Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER J4 ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 //li �L-yi4 fc7 c7 /L s'O%� 6," Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Wr Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONST OR ADDN5. ( DWELING ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of: Y Ex. Occup(OUTLETS OR FIXTURES) 109 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby (7� TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X --t-L( Date Signature of ermitee or Agent Receipt No. ,'S2-2!7 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF WMLIC WORKS BY / Date /- -/ Y' 7 B Zing'permit expires Date 10-1gl 7 7 PERMIT NO. 4144-77P,E G PERMIT EXPIRES OWNER Cleta Warren CONTR. owner LOCATION (A.P. 30-11-67 ) 1725 Grand Ave., Oroville ,y el • 'cl lei t Temp. Power Pole Called PG&E Temp. Elec. Serv. l Called PG&E Temp. Gas Serv. / Called PG&E / JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Stucco DATE REMARKS OR CORRECTIONS 0 goo s 9- (A -A ZYA-Q-' (NOTE: An entry must be made on this form each time you visit the job site.) ii0}3Ti.i?Ii0:il INSTALLA'} ION INSPECTION CHECK LIST 1. Is the. mobilehome locatc,d x i,i:h required separation from lot lines and buildings and generall.\ conform to plot plan? Y.cs� No�. 2, Does the mnbil.ehome have requirecl clearances above ground? (Sec.5085) Yes Jl/ No 3. Are footinr;s and supports properly sized, spaced, and braced as er approved plans? (Note ,possibl'c variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ' No `a:. Water A. Is fle .i_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes A, No C. ackflow - If coach is not State of California approved, does station have backflow device .and pressure -relief valve? Yes - No 7. Wastes and Drains A. .1s connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it. have minimum ," per foot slope and is it properly supported? Yes_ No `C:. Are any' leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No — f coach is not State of California approved, does station have required trap and vent? nes No 8. Gas Piping and Gas Vents - A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobi ehome gas line inlet without reductions other than the mobilehome connector.' YesA No B. Test OK as per following procedure? Yes 140 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehorne with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large e110ilg1k to provide adequate ampc>rage to mobileliome (must equal rating of mobilehome with a :-lirl.u":um �.-f100 amp) and other facilities on lot, i.e., water pumps, g::rag,e, cabana, e! c.: YsX No li. Is thea proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Ye�No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make -sure that the power supply cord or feeder assembly conductors, including neutral conductor,, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lo._d of a test instrument to the mobilehome grounding conductor and apply ttie OL'u.ef a. Z — J i:U CO - a F -I L.LCllUlllt sii�7pI cun.lLictur, i11CIiiuLitg YLCULral. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:_:i_ shall then be made between the grounding electrode and the chassis of the rlobilehome. UDOI1 satisfactory completion of the'e7ectrical tests, the lot or site service equipment- may be approved for energizing. ;.ij, Is job card signed by health Departmeat for water and sanitation? 1.1. If everything (A -ay, sign off card and tag- services. 'MOliIL.Ei!OML_DATA Manufacturer and/or Namestyle Length Width, -,`�l'Z' Vehicle Serial No. State Identification No. Ade,iLional Information or Comments: GeUNTY OF.$UTT.-F — DEPARTMENT OF PUBLIC WORKS • �. 7 County Center Drive r— Oroville, California 95965 9te ��%Telephone: 534-4541 /PPLICATION AND PERMIT!� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address /ITalephonetio. Contractor Mailing Address Building Address 1 7�2 S ITelephone No. Oro u I lie &Rio 9A si A. P. No. Q " /l 7, 1 Z . g - FeeW.C. r�i Fire Dept. FireZone Use Permit EQA I Parking P Parcel Map 60' R/W Improv ents Plans_ Bldg. Plans Recd A7Porcel Aprovol Pin? Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Ex. OCCUp(OUTLETS OR FIXTURES EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) Temporary service Mobile Home Facilities Misc. Wiring cense No. Classification �( I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. Permit Fee ELECTRICAL @ FEE PERMIT FILING FEE $3.00 .Qv 1.50 Main service soov OR LESS 100 AMP OR LESS 1.50 ®,) Main service EA. ADD'L 100 AMP 1.50 Ori Main service OVER soov 100 AMP OR LESS 5.00 2.00 Main service EA. ADD•L 100 AMP ' NEW CONST. /DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS & NON.RESI D. SINGLE O11TLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) Temporary service Mobile Home Facilities Misc. Wiring cense No. Classification �( I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. $3.00 5.00 2.50 25.00 1.00 10 sq ft 2.00 10.00 15.00 6.25 FEE .3, ft @ FEE $3.00 X I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. IPermit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. isDat Signature of ermltee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant vol Ae :25- ao TOTAL PERMIT EE $ 0117370 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date7P_.-2-!J — 77Z wilding permit expires Date J?"Zq-77 @ FEE $3.00 .Qv 1.50 1.50 1.50 ®,) 1.50 1.50 Ori .30 5.00 2.00 It Z ro♦ I. -2 Z Is $3.00 5.00 2.50 25.00 1.00 10 sq ft 2.00 10.00 15.00 6.25 FEE .3, ft @ FEE $3.00 X I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. IPermit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. isDat Signature of ermltee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant vol Ae :25- ao TOTAL PERMIT EE $ 0117370 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date7P_.-2-!J — 77Z wilding permit expires Date J?"Zq-77 ' I 40. L G 0 01 [n + o £ LJ N0TE.—A1l Materials & he .� . Setback shall be 5 ft. frori t Accordcl Workmanship Sh011 Be in : ide . property 'line and, 50 ft. from ti e nce with Recognized Good practices', and of a quality prescribed for file Specified use in' the centerline of the road,' permitting a maxi- Uniform Building, Plumbing mum of a 2 ft. eave overhang. buf entirely. the National Electrical Code Mechanical .Codes.and out of all easements. j This set of plans IST he ansdi peci ;'^-frons :Ml t kept on the job of all times and itis unlnwful $n l make any changes or alterafions on same without written permission from the Department of Public s Works, County of Butfe. %�ei.N.T"' g%/�/y�7 7 All utility connections shall be located within 4 ft. outside the rear. I r, third section of the mobile- home ' on the left .(rood) side of the .mobile home. i I, BUTTE COUNTY . BUILDING DEPARTMr4T APPROVED 7y 74 wo i I/ CQiJNTY OF BUTTE — , DEPARTMENT OF PUBLIC WORKS • - - h 7 County Center Drive' — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property fo inspection purposes. X Date Signature of Permltee or Agent Receipt No. /�&a r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 1f1PUBLIC WORKS By Date �— Zg— -7;2_ B i lc ng permit expires Date BUILDING Owner / Q. SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address L. -P, vIle Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �� d PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 v ` Q Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 d - / r 6 Zoning & PlanningGas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking ns Parcel60 Declaration Parcel Ma p ' R/W Im provements Lawn sprinkler system 2.00 `PI Parcel Ap o Plans oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q 44/ 44V —7 Main service i°oo AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR A.D.S. ( ACCLBLDGLING OCcup. &) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL210 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 KI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby w i� s [ thD �G TOTAL PERMIT FEE 10-1 $ authorize representatives of the County of Butte to enter upon the above-mentioned property fo inspection purposes. X Date Signature of Permltee or Agent Receipt No. /�&a r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 1f1PUBLIC WORKS By Date �— Zg— -7;2_ B i lc ng permit expires Date 1. Owner's name: M BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 _ r MOBILEHOME INSTALLATION SHEET 2. Installer's name: 3. Is the site currently under permit? Yes No (,If yes, furnish permit number ) OR Is the site an existing site? Yes / "/ No (If yes, furnish two (2) plot plans.) •- r 4. Will the mobilehome be located at least 5 ft. away,from septic tank and leach fields and clear of all setbacks and easements? Yes Z No./ / (If no, clarify ) 5. What is the mobilehome electrical rating?----------------------� Amps 6. What is the mobilehome site service rating? -- cj=-off ----�- Amps 7. What is the mobilehome site circuit breaker rating? ------------- ' Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------- ----------- (in.) 10. What is the type of gas service? ----------------------=------ Natural 747: LPG 11. What.is the gas pipe length from meter or tank to the mobilehome? (ft.)' 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) yw i 9 MOBILEHOME SUPPORT DATA ' Mobilehome Mfr. Setup Model No. Year Width �� (ft.) Length .. 6-57. - (ft.) Ekpando Size �ft.x ft. (Draw support details below) . a 7 X On all mobilehomes manufactured after October 71 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with .the County of Butte). — Sin le - \ Footin s- (check. one) i _ / 1. Wood..either . pressure treated or Center Center Support fdn-. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. r x 3. Other,: specify n. in. n. i Supports (check one) 77 1. Concrete block 2. Concrete piers ,l ft) -Z in --� (in.)(in.) 3. Steel piers 4. Other, specify 3 Typical Support x �j Footing Size .(in.)(in.) �.:.._.._ ._._._ Max. Pier 4e,( Spacing !(ft.j in.) ft. in.) - jG Overhang *If center piers are other than drawn above, draw in locations, g, and dimQ,rpsions. �l BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� ; ? COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: t